This hat can only be obtained via a crafting recipe which combines the 9 unique Halloween Masks from the 2010 Halloween Event together. Previously, every Halloween Mask could be found on the event map, Mann Manor, in randomly spawned gift boxes throughout the event. These gifts did not spawn outside of the event, or outside of the Mann Manor event map. Since Scream Fortress 2015, Halloween Masks are available through completing Merasmissions, or through the Halloween Transmute feature.

Unlike the other 9 Halloween Masks, the Saxton Hale Mask does not have a holiday restriction (similar to the Ghastly Gibus). This means that the Saxton Hale Mask can be crafted and worn after Halloween, which allows players to complete the Sackston Hale achievement at any time of the year.